City of Chesapeake survey

Question Title

* 1. Do you reside in Chesapeake, Virginia?

Yes

No

Question Title

* 2. Do you own or rent your residence?

Own

Rent

Question Title

* 3. For homeowners, do you currently utilize curbside recycling services?

Yes

No

not applicable

Question Title

* 4. For renters, is curbside recycling available at your residence?

Yes

No

Not applicable (homeowner)

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* 5. For homeowners who are receiving curbside recycling services, would you be willing to pay $5.00 - $6.00 per month to continue curbside recycling?

Yes

No

Not applicable (renter)

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* 6. If you answered yes to question 5, would you prefer it to be a separate user fee or part of your real estate taxes?

separate user fee

part of real estate taxes

not applicable (renter)

Other (please specify)

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* 7. We are committed to creating solutions to help continue curbside recycling and are hosting conversations with city officials to discuss solutions. Would you like to be routinely updated with our progress? If so, please provide your email address.

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address